Reynolds, Angela

Reynolds, Angela is an individual health care provider with primary practice located at 1903 W Hebron Ln , Shepherdsville KY 40165-7425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Reynolds, Angela can be contacted via phone (502) 647-4154.

Contact Information

Primary practice address
1903 W Hebron Ln Shepherdsville KY 40165-7425
Phone: (502) 647-4154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71009734A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015475 Kentucky

Profile Details

NPI number 1457996332
LBN Legal business name Reynolds, Angela
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2019
Last updated Jun 27th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457996332 NPPES
Kentucky MEDICAID 7100841280

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